Purulent Pericarditis With Tamponade in a Postpartum Patient Due to Group F Streptococcus

Snyder, Richard; Braun, Todd I.

doi:10.1378/chest.115.6.1746

Cited by 17 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In humans, infections caused by Bacteroides species have been associated with intra‐abdominal or genital inflammatory conditions, 10 but this dog had no clinical evidence suggestive of either condition. The most common bacterial species cultured from pericardial effusion in humans has changed in the past 50 years, with Gram‐negative bacilli surpassing Streptococcus pneumoniae 14,15 . Human purulent pericarditis has been rare since the introduction of antibiotics, and most cases occur in association with intrathoracic or cardiac surgical procedures, neoplasia, chemotherapy, or uremia 14,15 .…”

Section: Discussionmentioning

confidence: 60%

Septic pericarditis in a Yorkshire Terrier

Wagner

MacGregor

Berg

et al. 2006

J Vet Emergen Crit Care

View full text Add to dashboard Cite

Objective: To describe a novel case management strategy for a small breed dog diagnosed with septic pericarditis. Case summary: An 8-year-old spayed female Yorkshire Terrier presented for evaluation of pericardial effusion and persistent hypoglycemia. The dog had been hospitalized at a primary care facility for acute onset of vomiting, lethargy, inappetance, and painful abdominal distension. Pericardial effusion was detected and upon referral, cytologic examination revealed a suppurative exudate with Gram-positive and Gram-negative bacteria. The dog was treated with pericardiocentesis and placement of an indwelling pericardial catheter. Subtotal pericardiectomy was performed and a thoracotomy tube was utilized postoperatively. A penicillinsusceptible Bacteroides species was cultured from the pericardial fluid and was treated with a 6-week course of antibiotics. The dog was discharged from the hospital and clinical signs have not recurred in over 2 years. New or unique information provided: Septic pericarditis, an uncommon cause of canine pericardial effusion, has been described primarily in large breed dogs and in association with bacterial infection secondary to Hordeum grass (foxtail) awn migration. This case was unique in that the dog was a small breed with no evidence of foreign body penetration or other precipitating cause for the pericarditis. In a novel management plan, an indwelling pericardial catheter was employed to stabilize the dog before subtotal pericardiectomy.

show abstract

Section: Discussionmentioning

confidence: 60%

Septic pericarditis in a Yorkshire Terrier

Wagner

MacGregor

Berg

et al. 2006

J Vet Emergen Crit Care

View full text Add to dashboard Cite

show abstract

“…That case report detailed the development of septic pericarditis due to group F Streptococcus occurring in a 20‐year‐old woman 1 week after the uncomplicated vaginal delivery of her first child . The authors speculated that a transient bacteremia occurred during the time of delivery and subsequently seeded the pericardium . Likewise, the cat reported here presumably developed a bacteremia secondary to her pyometra, resulting in an infection of the pericardium and development of septic pericarditis.…”

Section: Discussionmentioning

confidence: 86%

“…First, it is the only report in the veterinary medical literature that demonstrates the development of septic pericarditis secondary to the presumptive hematogeneous spread of bacteria from pyometra. In humans, only one report has linked uterine disease with the development of septic pericarditis . That case report detailed the development of septic pericarditis due to group F Streptococcus occurring in a 20‐year‐old woman 1 week after the uncomplicated vaginal delivery of her first child .…”

Section: Discussionmentioning

confidence: 99%

“…In humans, only one report has linked uterine disease with the development of septic pericarditis . That case report detailed the development of septic pericarditis due to group F Streptococcus occurring in a 20‐year‐old woman 1 week after the uncomplicated vaginal delivery of her first child . The authors speculated that a transient bacteremia occurred during the time of delivery and subsequently seeded the pericardium .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Septic pericarditis in a cat with pyometra

Majoy

Sharp

Dickinson

et al. 2012

J Vet Emergen Crit Care

View full text Add to dashboard Cite

Septic pericarditis is a rare cause of pericardial effusion in the cat. Previous reported cases have either suggested the cause to be secondary to transient bacteremia resulting from a local infection seeding the pericardium or for the cause to remain unknown. To the authors' knowledge, this is the first veterinary report of septic pericarditis resulting from hematogeneously spread bacteria originating from a urogenital infection. It is also the first report of successful surgical management of septic pericarditis in the cat.

show abstract

“…[6,7] Pericarditis is usually secondary to the extension of an underlying condition such as infection from the pleural cavity. [8,9] For this patient, the infection would have spread from the pleural effusion that already existed. [10] As this organism was resistant to penicillin, there was a possibility of developing resistance to other antibiotics also.…”

Section: Discussionmentioning

confidence: 99%